Characterization, passive and active treatment in strabismic amblyopia: a narrative review

• 作者: David P.Pinero Myriam Milla
• 来源期刊: 国际眼科杂志:英文版
• 学科: 医学
• 关键词: AMBLYOPIA STRABISMUS OCCLUSION vision therapy strabismic amblyopia PENALIZATION Bangerter foil
• 年，卷（期）: 2020,（7）
• 页码范围: 1132-1147
• 页数: 16页
• 分类号: R777.44

摘要

Strabismic amblyopia is characterized by a distorted spatial perception.In this condition,the neurofunctional disorder occurring during first years of life provoke several monocular and binocular anomalies such as crowding,deficits in the accommodative response,contrast sensitivity,and ocular motility abilities.The inhibition of the binocular function of the brain by the misaligned amblyopic eye induces a binocular imbalance leading to interocular suppression and the reduction or lack of stereoacuity.Passive treatments such as occlusion,optical and/or pharmacological penalization,and Bangerter foils has been demonstrated to be potentially useful treatments for strabismic amblyopia.Recent researches have proved new pharmacological options to improve and maintain visual acuity af ter occlusion treatment in strabismic amblyopia.Likewise,the active vision therapy,in the last years,is becoming a very relevant therapeutic option in combination with passive treatments,especially during and after monocular therapy,in the attempt of recovering the imbalanced binocular vision.